INTRO1 Hello, may I please speak to [PARTICIPANT’S NAME]?
M MISSING/DON’T KNOW
IF
ASKED WHO IS CALLING:
This is [INTERVIEWER NAME] calling from
Westat, a research company based in Rockville, Maryland, on behalf of
the Health Resources and Services Administration and the Nurse Corps
program. May I please speak to [PARTICIPANT’S NAME]?
INTRO2 [IF NOT ASKED WHO IS CALLING, READ: Hello, this is [INTERVIEWER NAME] calling from Westat, a research company based in Rockville, Maryland, on behalf of the Health Resources and Services Administration and the Nurse Corps program.] I’m calling to follow-up on a survey we recently emailed you about your experiences in the Nurse Corps program. In case you didn’t receive it, let me tell you a little about the survey.
The survey is a key component of an evaluation of the Nurse Corps program. It asks about your employment plans and decisions, your satisfaction with the program and your Nurse Corps site, your experiences during COVID-19, and your experiences serving at your Nurse Corps site.
Your
responses will help the study team improve the Nurse Corps program
for future generations of nurses.
If now is a good time,
you can complete the survey with me over the phone. Participation in
the survey is voluntary and choosing not to participate will not
affect your standing with the Nurse Corps program. All of your
responses will be kept private. If you decide to complete the survey
now, it will take about approximately 25 minutes of your time.
Lastly, I want to note that this call may be monitored or recorded
for quality improvement purposes.
Is now a good time for you to complete the survey?
YES [CONTINUE]
NO, NOT AVAILABLE RIGHT NOW [SET CALLBACK]
NO [REFUSAL] [GO TO TERMINATE SCREEN]
Great. Before we begin the survey, do you have any questions?
[ANSWER
ANY QUESTIONS, THEN GO TO THE FIRST SECTION OF THE WEB SURVEY, READ
THE LEAD-IN, AND FOLLOW FROM Q1.]
INTRO3 INTRO3 AND INTRO4 USED ONLY IF CALLING PARTICIPANTS BACK TO COMPLETE A SURVEY THAT WAS BEGUN IN A PREVIOUS CALL. NOTE THAT THE PARTICIPANT MUST HAVE ANSWERED AT LEAST ONE QUESTION IN THE SURVEY IN A PRECEDING CALL.
Hello, may I please speak to [PARTICIPANT’S NAME]?
IF ASKED WHO IS
CALLING:
This is [INTERVIEWER NAME] calling from Westat on
behalf of HRSA and the Nurse Corps program. I’d like to speak
to [PARTICIPANT’S NAME] to continue a survey we started in a
previous call.
YES, PARTICIPANT IS AVAILABLE AND ON PHONE NOW [GO TO INTRO4]
NO, NOT AVAILABLE RIGHT NOW [SET CALLBACK]
NO [REFUSAL] [GO TO Q_REF SCREEN]
INTRO4 Hello, I am calling to continue the survey that we started in a previous call, regarding your experience with the Nurse Corps program. I’d like to continue with the interview now if you’re still available.
CONTINUE WITH INTERVIEW AT FIRST UNANSWERED QUESTION
NO, NOT RIGHT NOW [SET CALLBACK]
NO [REFUSAL] [GO TO Q_REF SCREEN]
REFUSAL SCREEN:
Q_REF Thank you for your time. Have a good (day/evening).
Nurse Corps Survey: Phone script
Public Burden Statement: This survey is intended to gather information from Registered Nurses, Advanced Practice Nurses, and Nurse Faculty participating in the Nurse Corps program from 2017 to 2023. The information gathered will contribute to the Bureau of Health Workforce (BHW)’s comprehensive evaluation of the Nurse Corps program. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0915-xxxx and it is valid until XX/XX/20XX. This information collection is voluntary. Public reporting burden for this collection of information is estimated to average xx minutes per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or paperwork@hrsa.gov.
Form
Approved|
OMB
No.
0915-xxxx
|Expires
xx/xx/xxxx
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Protocols and Guidelines Manual |
Subject | Home Health Care CAHPS Survey |
Author | Centers for Medicare & Medicaid Services |
File Modified | 0000-00-00 |
File Created | 2023-09-18 |